| Doctor Name: | CHERYL LYNN KOLF |
| NPI Number: | 1205207180 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS-MHC, MED, |
| License Number: | 2732-226 |
| Business Practice Address: | 708 Elizabeth St Baraboo, WI - 539132372 |
| Business Phone Number: | 6084779858 |
| Business Fax Number: | 8775600578 |
| Mailing Address: | 708 Elizabeth St, BARABOO |
| State: | WI |
| Postal Code: | 539132372 |
| Phone Number: | 6084779858 |
| Fax Number: | 8775600578 |
| NPI Enumeration Date: | 10/16/2015 |
| NPI Last Update Date: | 10/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2732-226 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |